File:A manual of syphilis and the venereal diseases, (1900) (14779396721).jpg

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Identifier: manualofsyphili00hyde (find matches)
Title: A manual of syphilis and the venereal diseases,
Year: 1900 (1900s)
Authors: Hyde, James Nevins, 1840-1910 Montgomery, Frank Hugh, 1862-1908
Subjects: Syphilis Sexually Transmitted Diseases
Publisher: Philadelphia : Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ra and bladder. Hemor-rhage, which is not often severe, may be controlled bywinding a strip of rubber plaster about the glans, asrecommended after meatotomy. Beginning forty-eighthours after the operation, a full-sized steel sound shouldbe passed through the stricture a few times at intervalsof three or four days, and then at longer intervals, as intreatment by dilation. To render the result permanent,it is usually necessary to continue the occasional use ofthe sound in the same manner as after treatment bydilation. When strictures of a calibre larger than No. 18 or 20require cutting, the Otis urethrotome (Fig. 52) is prob-ably the best instrument in use. The closed instrumentis introduced into the urethra until the point occupied ORGANIC STRICTURE OF THE URETHRA. 56l by the knife is half an inch behind the stricture. Bymeans of a screw in the handle the parallel blades areseparated until the stricture is put fully on the stretch,the blade is then withdrawn, cutting the stricture from
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Fig. 52.—Otiss dilating urethrotome (Tiemann) behind forward. The other steps in the operation aredescribed above. The Maisonneuve urethrotome, used for internalurethrotomy in the deep urethra, is probably thebest instrument for this purpose, since it can beattached to a filiform guide and thus be conductedthrough a stricture; but this operation is one to beavoided if possible, unless it be followed by perinealpuncture and drainage as recommended by Harrison inhis combined operation. Some of the modifications aresuperior to the original instrument in having protecting

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  • bookid:manualofsyphili00hyde
  • bookyear:1900
  • bookdecade:1900
  • bookcentury:1900
  • bookauthor:Hyde__James_Nevins__1840_1910
  • bookauthor:Montgomery__Frank_Hugh__1862_1908
  • booksubject:Syphilis
  • booksubject:Sexually_Transmitted_Diseases
  • bookpublisher:Philadelphia___Saunders
  • bookcontributor:Columbia_University_Libraries
  • booksponsor:Open_Knowledge_Commons
  • bookleafnumber:606
  • bookcollection:medicalheritagelibrary
  • bookcollection:ColumbiaUniversityLibraries
  • bookcollection:americana
Flickr posted date
InfoField
30 July 2014

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